Oregon Administrative Rules
Chapter 419 - OFFICE OF TRAINING, INVESTIGATIONS AND SAFETY
Division 490 - THERAPEUTIC BOARDING SCHOOLS
Section 419-490-0170 - Therapeutic Boarding Schools: Information about Children in Care with the Therapeutic Boarding School
Universal Citation: OR Admin Rules 419-490-0170
Current through Register Vol. 63, No. 3, March 1, 2024
(1) Case files of children in care. For each child in care a therapeutic boarding school accepts for placement, the therapeutic boarding school must maintain an individual record that includes a summary sheet containing all of the following information:
(a) The name, gender, date of
birth, religious preference, and previous address of the child in
care.
(b) The name and location of
the child in care's previous school.
(c) The date of admission to the
program.
(d) The status of the
child in care's legal custody, including the name of each person responsible
for consents and authorizations.
(e) The name, address, and telephone number
of:
(A) The child in care's parents.
(B) The child in care's legal guardian, if
different than parents, and his or her legal relationship to the child in
care.
(C) Other family members or
other persons identified by the family as significant to the child in
care.
(D) Other professionals to be
involved in service planning, if applicable.
(f) Any required signed consents and
authorizations.
(2) Service planning.
(a) All documentation,
including, but not limited to service plans, daily notes, assessments, progress
reports, medication records, and incident reports, must be written in terms
that are easily understood by all persons involved in service
planning.
(b) Intake documentation.
A therapeutic boarding school must complete a written intake document
containing screening information on the date the therapeutic boarding school
accepts a child in care, except in the case of an emergency placement when the
intake document must be completed within 48 hours of admission.
(c) Each child in care must be served
according to an individual written service plan developed by staff of the
therapeutic boarding school and including, whenever possible, the child in
care, the child in care's family, and other professionals involved with the
child in care or family. This document must outline goals for services and care
coordination.
(d) Assessment. A
comprehensive assessment must be completed within the first 45 days of
placement by a Qualified Mental Health Professional (QMHP). This assessment
must include all of the following:
(A)
Relevant historical information, current behavioral observations, any
identified needs for services, and a description of how the therapeutic
boarding school will provide or coordinate services.
(B) Suicide potential must be assessed and
the record must contain follow-up actions and referrals when an individual
reports symptoms indicating risk of suicide.
(C) Screening for the presence of
co-occurring disorders and chronic medical conditions. When the assessment
determines the presence of co-occurring disorders, the therapeutic boarding
school must document referral for further assessment, planning, and
intervention from an appropriate professional.
(D) Screening for the presence of symptoms
related to physical or psychological trauma.
(e) Service plan and review.
(A) Within 60 days of placement, a formal
service plan that meets the identified needs of the child in care must be
developed by staff of the therapeutic boarding school in conjunction with the
child in care and his or her parents or legal guardians, and any other persons
who are actively involved with the family, as appropriate.
(B) The service plan must reflect how the
therapeutic boarding school will address the child in care's issues, describe
the anticipated outcomes of the placement, and be reviewed and approved by the
child in care and the legal guardian or parent, unless
contraindicated.
(C) The service
plan must be reviewed by a QMHP at least quarterly.
(D) Service plans must be revised at any time
additional information becomes available indicating that other services should
be provided.
(3) Case management.
(a) The therapeutic boarding school must
document services provided, as necessary, to track and monitor progress toward
the achievement of service plan goals.
(b) Discharge. The therapeutic boarding
school must identify how a child in care's progress will be evaluated, and how
the determination is made of readiness for discharge or unsuitability for
continued stay.
(c) Discharge
planning. Discharge planning for children in care must be a participatory
decision-making process between the child in care, therapeutic boarding school
staff, the parent or legal guardian, and significant others. As used in this
rule, "significant others" mean relatives, friends, or interested members of
the community.
(d) Discharge
instructions. The therapeutic boarding school must provide the child in care
and the child in care's guardian with discharge instructions on or before the
discharge date, including current medications, name of the doctor who
prescribed each medication, any outstanding medical or other appointments, and
other follow-up instructions as needed. The therapeutic boarding school must
obtain a forwarding address for any discharge instructions received by the
therapeutic boarding school after discharge of the child in care.
(e) Follow-up services. The therapeutic
boarding school must identify any transitional or aftercare services or service
coordination that will be offered by the program.
(f) Incident reporting. A written description
of any injury, accident, or unusual incident involving a child in care must be
placed in the individual child in care's record.
(4) Financial records. A therapeutic boarding school must keep a written record for each child in care, itemizing all money received or disbursed on behalf of the child in care. The record must include all of the following:
(a) The date of each
receipt and disbursement and the amount of each.
(b) The source of income.
(c) The purpose of each
disbursement.
(d) The signature of
the person making each entry.
(e)
The signature of the child in care for each entry.
(5) The therapeutic boarding school will ensure, in policy, that:
(a) Disallowable
items are either stored, or returned to the parent or legal guardian;
and
(b) All money and personal
belongings are returned to the child in care at the time of
discharge.
Statutory/Other Authority: ORS 409.050, ORS 418.005 & ORS 418.240
Statutes/Other Implemented: ORS 409.050, ORS 418.005, 418.205 - 418.327 & ORS 409.010
Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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